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Prepublished online as a Blood First Edition Paper on April 17, 2002; DOI 10.1182/blood-2002-01-0203.

Submitted January 24, 2002
Accepted March 16, 2002
Evidence for the involvement of an hematopoietic progenitor cell in systemic mastocytosis from single cell analysis of mutations in the C-KIT gene
A. Selim Yavuz, Peter E Lipsky, Sule Yavuz, Dean D Metcalfe, and Cem Akin*
Autoimmunity Branch, National Institutes of Health, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, MD, USA
Laboratory of Allergic Diseases, National Institutes of Health, National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA
* Corresponding author; email: cakin{at}niaid.nih.gov.
Mast cells are derived from multipotential hematopoietic progenitors and are clonally increased in systemic mastocytosis, a disease associated with point mutations of codon 816 (most commonly Asp816Val) of c-kit. In order to study the lineage relationship and the extent of expansion of cells derived from the mutated clone, we examined the occurrence of the Asp816Val c-kit mutation in genomic DNA of individual sorted peripheral blood T cells, B cells and monocytes in patients with indolent systemic mastocytosis. The mutation was detected in varying frequencies in the genomic DNA of individual B cells and monocytes and bone marrow mast cells in patients with extensive disease. In B cells, the immunoglobulin repertoire was polyclonal, indicating that the mutation occurred before VHDHJH recombination. These results show that mastocytosis is a disorder of a pluripotential hematopoietic progenitor cell which gives rise to B cells and monocytes in addition to mast cells and that the affected clone shows variable expansion in these lineages in the peripheral blood of patients with systemic mastocytosis.

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